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- W4237526919 abstract "<h3>To the Editor.—</h3> Dr Martin Blinder<sup>1</sup>asks if there is a relationship between stress and diverticulitis-diverticulosis. The expert, Dr Kenneth B. Klein, answers, There is no good evidence that pain attributed to any sort of diverticular disease is precipitated by stress. Dr Klein advises that pain results from diverticulosis only when there is associated inflammation (diverticulitis) and that the chronic pain of irritable bowel syndrome has no established relationship with diverticular disease. I would like to offer another opinion. Dr Felix Fleischner<sup>2-4</sup>showed rather convincingly that there are two causes for true, acquired, colonic diverticula. Atrophic diverticula occur in the elderly as normal colonic pressure pushes pockets of mucosa through denuded areas of muscularis. On the other hand, patients with spastic segments of colon, usually sigmoid, develop hypertrophic bands of circular muscle through which pockets of mucosa are popped by periodic abnormal contractions, hypertrophic diverticula. Dr Fleischner hypothesized that" @default.
- W4237526919 created "2022-05-12" @default.
- W4237526919 date "1986-06-27" @default.
- W4237526919 modified "2023-09-26" @default.
- W4237526919 doi "https://doi.org/10.1001/jama.255.24.3366" @default.
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